Remote SIU Investigator — Healthcare Fraud
$56.2k - $101kCentene Corporation
- Remote job
Centene Corporation is seeking a qualified candidate for a remote role focused on investigating healthcare fraud. You will conduct thorough investigations into potential fraud, waste, and abuse, develop analytical reports, and work collaboratively with Health Plans. To qualify, you should have a Bachelor’s degree in a relevant field and at least five years of experience in fraud investigations within healthcare. The position offers a competitive pay range of $56,200 to $101,000 annually, along with comprehensive benefits including health insurance and 401K. #J-18808-Ljbffr Centene Corporation
- ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct investigations, perform data analysis, and prepare detailed reports while working remotely, preferably from Ohio. Key responsibilities Conduct investigations...Remote workFraudFull time
- Centene Corp. is seeking a full-time SIU Investigator to work remotely in California. This role involves investigating healthcare fraud allegations, performing data mining, and analyzing claims to identify potential abuse. Applicants should possess a Bachelor’s degree...Remote jobFraudFull time
- ...solicit your job application. Healthcare Fraud Shield will not contact you prior... ...Coder or Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES Work with SIU Team (Clinical Reviewers, CPCs... ...development initiatives Remote work eligible REMOTE WORK REQUIREMENTS...Remote workFraudFull timeFlexible hours
- A leading company in healthcare fraud prevention is seeking a talented Coder or Clinical Coder/Fraud Investigator. This full-time role involves analyzing patient medical records... ...compliance with coding guidelines. The position is remote work eligible, requiring a CPC...Remote jobFraudFull time
$56.2k - $101k
Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations... ...time off plus holidays Flexible approach to work with remote, hybrid, field or office schedules Actual pay will...Remote workFraudWork at officeFlexible hours$56.2k - $101k
Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations... ...time off plus holidays Flexible approach to work with remote, hybrid, field, or office schedules Additional...Remote workFraudWork at officeFlexible hours- ...Providing investigative support for special investigation unit (SIU) activities, the full-time Healthcare Investigator will focus on the prevention, detection... ...investigation of healthcare fraud, waste, and abuse (FWA), while working remotely to analyze information and ensure...Remote workFraudFull time
- ...Seeking a full-time remote Healthcare Fraud Investigator, the successful candidate will manage complex investigations into healthcare fraud, waste, and... ...transactions Provide expert guidance and training to other SIU Investigators and contribute to policy development...Remote workFraudFull time
$53.5k - $77.8k
...Siu Investigator This position is listed on behalf of a partner company, who manages all applications... ...to identify and prevent insurance fraud while supporting fair claim outcomes.... ...documentation and strong communication. This remote opportunity provides a collaborative...Remote workFraud$70k - $117k
Kemper Corporation is hiring a SIU Investigator III in Miami, Florida. This role focuses on investigating complex, suspicious claims and coordinating... ..., and proficiency in Microsoft products. The position is remote but requires residency in Miami Dade County for assignments....Remote jobFraud$30 - $35 per hour
VRC Investigations is seeking experienced and motivated Part-Time SIU Investigators in New Orleans, Louisiana. These roles allow for work from home or on-site, requiring... ...for investigations into potential insurance fraud. The ideal candidates will have relevant experience...Remote jobFraudHourly payPart timeWork from home- Safepoint MGA, LLC is seeking a highly motivated SIU Examiner to work remotely in Louisiana. This role requires expertise in handling claims fraud investigations, including analysis and recommendation of actions. The examiner will conduct interviews, coordinate with SIU...Remote jobFraud
$53.5k - $77.8k
...SIU Investigator At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties... ...to the Special Investigation Unit (SIU) for potential fraud. The role conducts site inspections, including body shops,...Remote workFraudWork from homeWork visa$70k - $117k
Kemper Corporation is hiring a SIU Investigator III responsible for investigating complex and suspicious... ...and investigative skills. This remote position primarily targets candidates residing... ...contacts, and collaborate with state fraud bureaus. A minimum of four years'...Remote jobFraudWork at office- ...Special Investigations Unit (Siu) Desk Investigator At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in... ...moderate investigations involving suspicions of insurance fraud related to the application of insurance, auto/property, and...Remote workFraudContract workWork at officeRelocation package
$30 - $35 per hour
VRC Investigations is seeking experienced Part-Time SIU Investigators to join its team in Las Vegas, Nevada. You will investigate potential insurance fraud, conduct interviews, and document findings in detailed reports. The role requires excellent communication, analytical...Remote jobFraudHourly payPart time- 4004 Aetna Medicaid Administrators is seeking a SIU Investigator based in Oklahoma to investigate allegations of Medicaid healthcare fraud. The role involves managing a caseload, conducting interviews, and using data analytics to identify suspicious activities. Applicants...Fraud
- The SIU Investigator will conduct field as well as desk investigations of insurance claims referred... ...Special Investigator will function as a remote investigator working from her/his... ...SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement...Remote workFraudWork experience placementWork at office
- Molina Healthcare in the United States seeks an investigator to support the SIU's medical provider coding fraud investigations. You will re-evaluate post-payment claims against records, review CPT guidelines, and prepare clinical summaries to facilitate referrals. This...Fraud
- ...Health and Hospital System (PHHS) is looking for a Clinical SIU Investigator to implement an effective compliance program for the Parkland... .... This role involves conducting thorough investigations into fraud, waste, and abuse within Medicaid and CHIP. The ideal candidate...Fraud
- Health Alliance Plan is seeking a Special Investigative Unit (SIU) Investigator in Troy, Michigan. The... ...audits, and analyze data to support fraud prevention efforts. This role requires... ...degree and significant experience in healthcare investigations or related fields. Certifications...Fraud
- Safepoint Insurance is seeking an SIU Examiner in Louisiana to identify and handle all aspects of fraud investigations within the Claims Department. You will review SIU reported... ...and the ability to work independently in a remote home-office environment. #J-18808-Ljbffr...Remote jobFraudHome office
- Chicago, IL (Remote) Des Plaines, IL 60018, USA Description... ...for indicators of fraud or suspicious activity... ...and triage the SIU’s cases based on risk,... ...of complex, high-value investigations from intake through resolution... ...of plans to fit your healthcare needs. Employer-Paid...Remote jobFraudTemporary workWork at officeFlexible hours
$70k - $117k
## SIU Expert InvestigatorApplylocations: Remote-FL: Miami, Floridatime type: Full timeposted on: Posted Yesterdayjob... ...****Position Summary:**The SIU Investigator III is responsible for the investigation... ...that may contain elements of fraud or claims otherwise deemed...Remote workFraudTemporary workWork at officeLocal area- EmblemHealth is seeking a seasoned fraud investigator to conduct complex investigations into Medicaid fraud, develop leads, review claim files... ...records, and ensure accurate CPT coding while mentoring the SIU team. The role requires 4-6+ years of investigation experience...Fraud
- ...UnitedHealth Group in Omaha, Nebraska, seeks an investigator to assess fraud and misconduct allegations. You will conduct investigations, analyze data, and ensure compliance with regulations while collaborating with internal and external partners. The ideal candidate...Remote workFraud
$68k - $90k
West Bend Mutual Insurance Company is searching for a skilled investigator to handle insurance fraud cases. This fully remote position requires at least 50% fieldwork in Tennessee, North Carolina, Kentucky, and Virginia. The ideal candidate will have 6-8 years of relevant...Remote jobFraud- ...Crains Cleveland is seeking an Insurance Fraud Investigator to conduct investigations into suspects of insurance fraud. This role requires strong investigative skills and the ability to work collaboratively with law enforcement. The ideal candidate will be located in...Remote workFraudWork from home
$70k - $90k
Cotiviti is seeking a Senior Investigator to analyze suspected incidents of healthcare fraud, waste, or abuse through data analysis. The role involves evaluating instances of potential fraud and conducting interviews with patients and providers. Candidates should have a...Remote jobFraudWork from home$32.05 - $57.49 per hour
GEICO is looking for a Senior Internal Security Investigator to conduct investigations on suspected insurance fraud and claims. This fully remote role requires at least five years of relevant experience and the ability to manage multiple investigations effectively. The...Remote jobFraudHourly pay
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